NPI Profile for JEFF WALLAGER in MINNEAPOLIS, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1700752151 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/14/2025 | |
| Last updated | 10/14/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JEFF WALLAGER
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